ELYSSA DENAULT PA-C
NPI 1053271585
Physician Assistant in Portland, ME

Q: What is Elyssa Denault's NPI number?

The NPI number for Elyssa Denault is 1053271585. It was assigned to this individual provider in the NPPES registry on November 17, 2025.

Q: What is Elyssa Denault's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Q: When was this NPI record last updated?

The NPPES record for Elyssa Denault was last updated on January 7, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since November 17, 2025PECOS EnrolledAccepts Medicare Assignment

22 BRAMHALL ST, PORTLAND, ME 04102(207) 662-4618(207) 662-6254 Get Directions Write a Review

NPPES record last updated: January 7, 2026. Verified against the NPPES registry weekly; last sync: September 20, 2026.

Record update history: Jan 7, 2026, Nov 17, 2025 (2 updates tracked since 2025).

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About Elyssa Denault Pa-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ELYSSA DENAULT PA-C (NPI 1053271585) is an individual physician assistant in Portland, Maine, licensed in Maine (PA2997) and active in the NPI registry since November 2025. She is enrolled in Medicare PECOS, is affiliated with Maine Medical Center, and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1053271585

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameELYSSA DENAULTCredential: PA-C

Location Address22 BRAMHALL STPortland, ME 04102-3134

Mailing Address22 Bramhall StPortland, ME 04102-3134 · (207) 662-4618 · Fax (207) 662-6254

Phone(207) 662-4618

Fax(207) 662-6254

Sole ProprietorNo

Medical School CMSOtherGraduated 2025

Enumeration DateNovember 17, 2025

Last NPPES UpdateJanuary 7, 20262 updates tracked since enumeration

NPPES CertifiedJanuary 7, 2026

✔ NPI 1053271585 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

License✔ Licensed in ME · PA2997

Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

22 BRAMHALL ST, Portland, ME 04102

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Secondary Practice Locations 3

Location 1181 Main StNorway, ME 04268-5664 · Phone (207) 743-5933 · Fax (207) 743-1566

Location 225 June StSanford, ME 04073-2621 · Phone (207) 324-4310

Location 31 Medical Center DrBiddeford, ME 04005-9422 · Phone (207) 283-7937 · Fax (207) 283-7018

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Elyssa Denault Pa-c is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6406332022

PECOS Enrollment IDI20260113002271

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Maine Medical Center

Acute Care Hospitals · Portland, ME

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number200009

Location22 Bramhall StPortland, ME 04102 · Cumberland County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 04102 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$86.72 typical visit price

range $56.28 – $169.96

Typical copayment $21.68 (range $14.07 – $42.49)

Most-billed visit code 99203

Established Patient

$70.13 typical visit price

range $18.22 – $138.92

Typical copayment $17.53 (range $4.55 – $34.73)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ABBY LYNN LABRECQUE PA-C

Physician Assistant (Medical)